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Video Details
Patients Are Never Too Old For Improving Smiles

Description:
Most people have a continuous need for looking their best… and this need does not stop during senior years. This video is about improving the smile of a soon to be 70-year old woman. Porcelain veneers were accomplished in a 2-day turn around using full contour pressable lithium disilicate.

Date Added:
10/10/2012

Author(s):

Ronald Goldstein, DDS Ronald Goldstein, DDS
Dr. Ronald Goldstein is currently Clinical Professor of Oral Rehabilitation at Georgia Regents University College of Dental Medicine in Augusta, Georgia, Adjunct Clinic...
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Online Videos / Restorative / Porcelain Veneers / Patients Are Never Too Old For Improving Smiles




Questions & Comments
Ronald Goldstein - (8/21/2017 5:02 PM)

Irene, I agree that etching and bonding all veneers at one time is stressful and therefore bonding 3 at a time is much easier to control the placement of the veneers. This gives you more time to initially clean up the margins and do preliminary finishing.

Irene Euler-Kennedy - (5/1/2016 5:08 AM)

Thanks Dr. Goldstein for an excellent presentation. I agree with you wholeheartedly. Having treated patients in the past , who were terminally ill, I learned all about "Quality of life". Due to oral cancer treatment, some patients could not eat at all, however, I made them dentures, so they could smile and felt whole. And, by the way, I have the same workflow for veneers. But, I think, etching and bonding all preps would make me nervous, as the smallest amount of cementation paste contamination on an adjacent tooth could affect seating the next veneer. Regards

Ronald Goldstein - (2/2/2014 5:25 PM)

Thanks for asking the question, Sharon. First, I always have a consultation with my partner, Dr. Salama, who as you know is trained as both orthodontist and periodontist. If he feels that an orthodontic solution is not only best but practical as well then that is the way we go. However, in this case he agreed that a restorative option would be more practical for the patient. Therefore I began with the occlusal view and created a labio-occlusal line angle starting from the central/lateral to the 2nd molar, and that is where I decided the porcelain veneers would look reasonably good. Then I contoured the mandibular arch and pulled in #27 and #28 enough to create a better occlusion. If you look at the after occlusal view you will notice that #6 still is slightly labial but not noticable in the after smile. I do this treatment routinely when restoring crossbites via crowns, bonding, or veneers. there is another very similiar but much more dramatic on DentalXP that I did via bonding.

sharon goodwin - (2/2/2014 2:39 PM)

Dr Goldstein excellent presentation thank you How did you manage to improve the crossbite relationship with the veneers on #6 and #27? Do you just bring out the veneers more facially? Thank you!!

Ronald Goldstein - (7/22/2013 3:28 PM)

Bassam, the rational behind inserting the laterals last depends on whether the cuspids are better off cementing first after the bicuspids and if so then the laterals become the pivotal tooth in the arch. the reason is that one tooth must be the last piece of the puzzle and I can usually bond the bicuspids and even the cuspids easily. The centrals are to go in together so either the laterals or cuspids will be refitted next because there is always a microscopic(or macroscopic) difference in the fit after adjacent teeth are bonded. the posterior crown was Lithium Disillicate. And if the interdental papilla does not grow back as forecasted, then it is possible to make small porcelain pieces to fill in the spaces and they would be attached to one of the crowns to mask the space and I would bond porcelain to porcelain.

Bassam Algheryafi - (12/19/2012 10:27 AM)

Dr.Gldstein, congratulations on such beautiful accomplishment. What is the rational behind inserting the lateral veneers the last? what material was the posterior crown made of? And last, what would you do if the black triangles do not get filled in?
Thanks.

Will Lin - (10/21/2012 8:29 AM)

great view.I total agree your outstanding opinion.

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